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PETER JOHN WAGNER M.D.
NPI 1962403774
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry in Rancho Mirage, CA

Active since August 02, 2005PECOS Enrolled
84.3/100
CMS Quality Rating
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270(760) 837-8767(760) 837-8806 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 15, 2021, Nov 8, 2021, Mar 1, 2016 (3 updates tracked since 2016).

About Peter John Wagner M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER JOHN WAGNER M.D. (NPI 1962403774) is an individual behavioral neurology & neuropsychiatry provider in Rancho Mirage, California, licensed in California (C130554) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962403774
Entity TypeIndividualMale
Primary Taxonomy2084B0040X
Provider Legal NamePETER JOHN WAGNERCredential: M.D.
Location Address39000 BOB HOPE DRRancho Mirage, CA 92270-3221
Mailing Address39000 Bob Hope DrRancho Mirage, CA 92270-3221 · (760) 837-8767 · Fax (760) 837-8806
Phone(760) 837-8767
Fax(760) 837-8806
Sole ProprietorNo
Enumeration DateAugust 2, 2005
Last NPPES UpdateNovember 15, 20213 updates tracked since enumeration
NPPES CertifiedNovember 15, 2021
✔ NPI 1962403774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084B0040X
Licenses✔ Licensed in CA · C130554✔ Licensed in CO · 36158
Definition
Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 36158 (CO), C130554 (CA)
39000 BOB HOPE DR, Rancho Mirage, CA 92270
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Other Identifiers 1

Medicaid11902761CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter John Wagner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Peter Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eisenhower Medical Center
0.1 mi
General Acute Care Hospital
39000 BOB HOPE DR
Rancho Mirage, CA 92270
  • Reassigned Medicare billing, California enrollment
  • 595 clinicians in this Medicare group
NPI 1710272893 (760) 340-3911

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92270 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.95
Promoting Interoperability100
Improvement Activities40
Cost58.71

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. NORMA ZAPATA LCSW
Social Worker (Clinical)
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Riverside County (760) 340-3911
ADELE ALEXANDRA FIELDS MD
Radiology (Diagnostic Radiology)
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Riverside County (760) 773-1574
DR. PETER JAMES SOFIA M.D.
Anesthesiology
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Riverside County (760) 340-3911
ANDREA VIRGINIA CORPORA PA-C
Thoracic Surgery (Cardiothoracic Vascular Surgery)
39000 BOB HOPE DR, K - 108
RANCHO MIRAGE, CA 92270
Riverside County (760) 568-4330
SEVWANDI DE SILVA M.D.
Internal Medicine (Pulmonary Disease)
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Riverside County (760) 834-3564
ERVIN XHUFKA NP
Nurse Practitioner (Family)
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Riverside County (760) 837-8542
LOGAN BUCKNER PT, DPT
Physical Therapist
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Riverside County (760) 340-3911
MOLLY E MCKEOWN PA-C
Physician Assistant
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Riverside County (760) 340-3911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Wagner's NPI number?

The NPI number for Peter Wagner is 1962403774. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Peter Wagner located?

Peter Wagner practices at 39000 Bob Hope Dr, Rancho Mirage, CA 92270. The listed phone number is (760) 837-8767.

What is Peter Wagner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry, with taxonomy code 2084B0040X.

Is Peter Wagner enrolled in Medicare?

Yes. Peter Wagner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Peter Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Wagner reassigns Medicare benefits to Eisenhower Medical Center (Rancho Mirage, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Peter Wagner was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.